Booking Form Booking Reference : Departure Date Special Requests / Notes (Special requests are not guaranteed and subject to availability) Hotel Category or Name Room Type Number of Rooms Number of Nights Meal Plan Airline/s Reference Number Passengers Details: Passenger 1 Passenger 2 Passenger 3 Passenger 4 Passenger 5 Passenger 6 Title —Please choose an option—MrMrsMiss First Name (Names as shown on your passports) Surname (Names as shown on your passports) Nationality Passport Number Passport Issue Date Passport expiry date Date of Birth Email Address Title —Please choose an option—MrMrsMiss First Name (Names as shown on your passports) Surname (Names as shown on your passports) Nationality Passport Number Passport Issue Date Passport expiry date Date of Birth Email Address Title —Please choose an option—MrMrsMiss First Name (Names as shown on your passports) Surname (Names as shown on your passports) Nationality Passport Number Passport Issue Date Passport expiry date Date of Birth Email Address Title —Please choose an option—MrMrsMiss First Name (Names as shown on your passports) Surname (Names as shown on your passports) Nationality Passport Number Passport Issue Date Passport expiry date Date of Birth Email Address Title —Please choose an option—MrMrsMiss First Name (Names as shown on your passports) Surname (Names as shown on your passports) Nationality Passport Number Passport Issue Date Passport expiry date Date of Birth Email Address Title —Please choose an option—MrMrsMiss First Name (Names as shown on your passports) Surname (Names as shown on your passports) Nationality Passport Number Passport Issue Date Passport expiry date Date of Birth Email Address Contact details of lead passenger: Address Postcode/ Zip Daytime Telephone Mobile In case of emergency, contact Relationship Contact Number I have read the booking conditions and accept them on behalf of all members of my party by whom i am authorized to make this agreement. I confirm all persons are fit to travel and that each person is personally responsible for fulfilling immigration and health requirements. I am over 18 years of age. Tick this to accept the Terms and Conditions Accept Booking Conditions Deposit Remittance: A minimum deposit of EUR 250 per person is payable at the time of booking or full payment premiums where travel is within six weeks. However in some cases full payment may be required earlier, due to airline time limits for tickets issue. Please indicate if you require travel insurance cover YESNO Details of your own insurance Company Policy No: 24 hour Emergency No.: Total Remittance Enclosed: DepositBalance EURO: * VAT is included in the above amount. ** Your payment will be subject to approval. We will get back to you within 48 hours.
